Most Relevant Information
Provider Data
| NPI Number: | 1003002544 |
| Provider Name: | JACQUELINE HYDE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 7324191-6009 |
Most Important Dates
| Enumeration Date: | 09/19/2007 |
| Last Updated: | 06/30/2009 |
Provider Practice Location
10151 MAJESTIC CANYON RD
SANDY
UT
840924521
Practice Location Phone/Fax
| Phone: | 8018095050 |
| Fax: |
Provider Mailing Location
10151 MAJESTIC CANYON RD
SANDY
UT
840924521
Provider Mailing Phone/Fax
| Phone: | 8018095050 |
| Fax: |